Employer Pull Notice Program Forms

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After completing the required form, please mail it to the address on the form. EPN cannot accept completed forms submitted by e-mail at this time.

Call (916) 657-6346 for assistance regarding any forms or for general questions. Please call between the hours of 8 a.m. and 5 p.m. Monday through Friday (except State Holidays).

You need version 5 of Adobe Acrobat Reader to view, fill out and print this form. If you have problems with Acrobat Reader or our PDF form, click on Troubleshooting. To obtain a form by mail, contact your local DMV office or call (800) 777-0133 between the hours of 8 a.m. and 5 p.m. PST. For large quantities, read "Ordering DMV Forms in Large Quantities".

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